ICU老年患者医用粘胶相关性皮肤损伤现况及影响因素分析

Current status and influencing factors of medical adhesive-related skin injuries among elderly patients in ICU

目的 探索ICU老年患者医用粘胶相关性皮肤损伤(Medical Adhesive-related Skin Injury, MARSI)发生现况和影响因素。方法 选择289例ICU住院老年患者为研究对象,对患者ICU期间的MARSI发生状况进行评估和记录,分析影响因素。结果 29例患者观察期间发生了MARSI,发生率为10.03%。logistics回归分析结果显示:患糖尿病、使用镇静剂、存在营养风险、低体质量及低蛋白血症是ICU老年患者MARSI的危险因素(P<0.05,P<0.01)。结论 ICU老年患者是MARSI的高危人群,应针对危险因素制订防范措施,防止MARSI的发生。

Objective To explore current situation and influencing factors of medical adhesive-related skin injury(MARSI) in elderly patients in ICU. Methods Totally, 289 elderly patients in ICU were selected and occurrence of MARSI in the patients during ICU stay was assessed and documented. Factors associated with MARSI were probed. Results A total of 29 elderly patients had MARSI during the observation period, with the incidence rate at 10.03%. Binary logistics regression analysis showed that elderly patients who had diabetes, who were given sedatives, who had nutritional risks, low body weight, or hypoproteinemia were at higher risk of MARSI(P<0.05,P<0.01). Conclusion Elderly patients in ICU are a high-risk group for MARSI. Measures should be taken to target the risk factors, in an effort to ward off MARSI in the population.